Individual provider Active NPI

Chad W Trosclair, MD

  • Addiction Medicine (Family Medicine) Physician
  • Covington, LA
National Provider Identifier
1952556094
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
024643 Issued in LA
Practice address
5001 Highway 190 East Service Rd Ste D5
Covington, LA 70433-4956
Phone
(985) 377-2828
NPI assigned
Nov 17, 2008
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 18116 MS
Addiction Medicine (Family Medicine) Physician 207QA0401X 024643 LA Primary

Addresses

Primary practice location

5001 Highway 190 East Service Rd Ste D5
Covington, LA 70433-4956

Mailing address

5001 Highway 190 East Service Rd Ste D5
Covington, LA 70433-4956
Phone (985) 377-2828

Other practice location 1

5360 I 55 N Ste 160
Jackson, MS 39211-4055
Phone (601) 362-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drt@altrjackson.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024643LAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alternatives for Life Treatment & Recovery of Jackson LLC CurrentSince Jun 22, 2021 Accepting new patients
Metro Treatment of Mississippi LP Past Accepting new patients
Townsend Recovery, LLC Past Accepting new patients
Townsend Recovery Past Accepting new patients

Locations

500D E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 362-3131

5360 I 55 N
Ste 160
Jackson, MS 39211
Phone (601) 362-3131

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1952556094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY 190 EAST SERVICE RD STE D5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334956",
            "telephone_number": "985-377-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY 190 EAST SERVICE RD STE D5",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334956",
            "telephone_number": "985-377-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5360 I 55 N Ste 160",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392114055",
            "country_code": "US",
            "telephone_number": "601-362-3131",
            "fax_number": "601-362-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROSCLAIR",
        "first_name": "CHAD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": "18116",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "LA",
            "license": "024643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drt@altrjackson.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500D E Woodrow Wilson Ave",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.